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Comparison of alternate part-time patching and pencil push-up training for patients with intermittent exotropia
Desheng Song1, Ling Yin2, Danni Chen3
1Department of Ophthalmology, Children's Hospital of Nanjing Medical University, Nanjing, 210008, China. songdesheng123456@163.com.
Background:
To compare the effect of alternate part-time patching and pencil push-up training on control ability in patients with intermittent exotropia.
Methods:
Patients (3-7 years old) with previously untreated intermittent exotropia were randomly assigned to receive alternate part-time patching, pencil push-up training, or observation. Control ability was assessed using the Office Control Score. Stereoacuity at 40 cm was evaluated with Titmus. Results were compared after a 12-week follow-up.
Results:
Ninety-two patients (28 in patching, 30 in pencil push-ups, and 34 in observation group) completed 12-week follow-up assessments. Based on 6-point scale, the mean deviation control was significantly better in patching and pencil push-up group after 12 weeks at distance (P = 0.002 and 0.026, respectively). Furthermore, there were greater control changes in patching and pencil push-up groups in comparison with observation group from baseline to 12 weeks (P<0.001; P = 0.003, respectively). After 12 weeks of treatment, stereoacuity and stereoacuity changes were not significantly different between either the intervention group or control group (P = 0.140 and 0.393, respectively).
Conclusions:
Based on the common office control scale, alternate part-time patching and pencil push-up training were effective treatment strategies for intermittent exotropia.
